Office Use: Personnel Information Form
Employee You Are Completing Form For:
*
First Name
Last Name
Effective Employment Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Employee Email
*
example@example.com
Department, Grade, or Classroom
*
Job Title
*
Is this a new position or are you replacing a previous employee?
*
New Position
Replacing Previous
Person Being Replaced
*
First Name
Last Name
Employee Status
*
Please Select
Full Time
Part Time
Temporary
Stipend
Pay Terms
*
Please Select
Hourly
Salary
Temporary
Stipend
Hourly Rate
*
Hours Per Week
*
Annual Salary
*
Weekly Rate
*
Length of Term
For Contract or Temporary Employees
Who is completing this form
*
By typing your name you are certifying that you have followed all required procedures for hiring this employee. Including but not limited to: budgetary approval, interviews, etc. You also certify that the above information has been completed to the best of your knowledge.
Submit
Should be Empty: